Background

A role for addiction psychiatry in aesthetic treatment-seeking behavior has been evidenced for ultraviolet light tanning.

Objective

We aim to demonstrate an initial proof of concept for the presence of addictive behaviors in cosmetic procedure use.

Methods

Adults visiting a cosmetic dermatology practice with history of at least 1 cosmetic procedure and consideration of at least 1 cosmetic procedure in the past 12 months were included. Two previously validated instruments in the detection of alcohol use disorder, the Cut Down, Annoyed, Guilty, Eye-Opener (CAGE) questionnaire, and Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) criteria were modified to evaluate participants for a substance-related disorder (SRD) in cosmetic procedures.

Results

Of 153 adults, 34 (22.2%) met modified CAGE criteria, and 40 (26.1%) met modified DSM-V criteria. Results from both instruments were significantly associated (P < .0002). Significant differences in consideration and use of cosmetic treatments were found in SRD positive versus negative groups (P < .0001 and P = .009, respectively).

Limitations

Preliminary criteria for SRD in cosmetic procedure use in this study has not yet been validated.

Conclusions

A type of SRD involving cosmetic procedures may exist, and qualifying individuals may have increased cosmetic treatment use. Future efforts to rigorously validate an instrument for SRD detection in cosmetic procedures use are warranted for future research and clinical application.

目的

我们的目的是证明在整容程序利用中存在上瘾行为的概念的初步证明。

方法

学包括在过去的12个月中，至少有一次整容手术史并考虑过至少一项整容手术的就诊的皮肤科成年受试者。修改了两个先前已验证的酒精使用障碍（AUD）检测工具，即CAGE（降低，恼火，有罪，睁大眼睛）问卷和《精神障碍诊断和统计手册》第五版（DSM-V）标准在整容手术中评估受试者是否患有物质相关疾病（SRD）。

结果

在153位成年人中，有34位（22.2％）符合修改后的CAGE标准，有40位（26.1％）符合修改后的DSM-V标准。两种仪器的结果均显着相关（P <0.0002）。在SRD阳性组和阴性组中，在美容治疗的考虑和利用方面存在显着差异（P <0.0001； P = 0.009）。

结论

与相关性可能存在一种涉及整容手术的SRD，有资格的人员可能增加了整容治疗的利用率。为了将来的研究和临床应用，有必要做出进一步的努力来严格验证在美容手术中使用的SRD检测仪器。